Organization
PARK DUVALLE COMMUNITY HEALTH CENTER, INC
Active
Parent organization
PARK DUVALLE COMMUNITY HEALTH CENTER, INC
Other names
Park DuValle at West End School
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK DUVALLE COMMUNITY HEALTH CENTER, INC
Authorized official
DR. SWANNIE JETT (CEO)
(502) 774-4401
Entity
Organization
Contact information
Practice address
3628 VIRGINIA AVE, LOUISVILLE, KY 40211-1664
(502) 774-4401
(502) 618-1213
Mailing address
3628 VIRGINIA AVE, LOUISVILLE, KY 40211-1664
(502) 774-4401
(502) 618-1213
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
02/06/2026
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